Description PURPOSE: Responsible for answering member provider broker inquiries pertaining to product information benefits claims resolution eligibility and billing questions in a call center environment. Proactively provides information and education to members providers brokers as appropriate about a variety of health financial and self-service programs. Provides basic technical assistance and troubleshooting guidance for digital and electronic applications. ESSENTIAL FUNCTIONS: Provides first- level problem resolution to member provider and broker inquiries via telephone by gathering and researching information examine claim submissions verifying claim and system accuracy as well as liability validate customer understanding of information and resolves issues based on applicable policies and procedures. Uses knowledge of products or services by collecting and the contractual provisions that govern administration to provide customer information service and analyzing education to interpret contractual language to the customer needs for the purpose of providing benefit utilization and limitations to determine the need for managed care initiatives and to administer all types of services to customers within the business segment through telephonic inquiries written and/or electronic inquiries and claims adjustments if applicable. Appropriately documents all client interactions according to established Prioritize workflow multitask efficiently in a fast pace environment while using multiple skill sets with demonstrated proficiency. Delivers accurate information to customers in accordance with performance goals and objectives. Maintains customer advocate records by identifying underlying customer needs and guiding them to appropriate resources or programs updating account information by effectively utilizing the business areas enrollment/inquiry tracking system amp processes. Participates in system as needed. Ongoing education related to new services industry topics and skills Qualifications To perform this job successfully an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Education Level: High School Diploma or GED Experience: 3 years customer service experience Preferred Qualifications Knowledge Skills and Abilities KSAs Demonstrated skills as an empathetic and compassionate communicator. Ability to quickly gain customer trust and confidence. Demonstrated PC navigation and data entry skills. Strong interpersonal communication skills. Good oral and written communication skills. Experience Level Entry Level Pay and Benefits The pay range for this position is $23.50 - $24.50/hr. Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: • Medical, dental & vision• Critical Illness, Accident, and Hospital• 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available• Life Insurance (Voluntary Life & AD&D for the employee and dependents)• Short and long-term disability• Health Spending Account (HSA)• Transportation benefits• Employee Assistance Program• Time Off/Leave (PTO, Vacation or Sick Leave) Workplace Type This is a fully remote position. Application Deadline This position is anticipated to close on Feb 14, 2025. About TEKsystems: We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company. The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.